Oral potentially malignant disorders: advice on management in primary care
Introduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need...
Main Authors: | , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
EDP Sciences
2022-01-01
|
Series: | Journal of Oral Medicine and Oral Surgery |
Subjects: | |
Online Access: | https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.html |
_version_ | 1818017321406431232 |
---|---|
author | Eccles Katherine Carey Barbara Cook Richard Escudier Michael Diniz-Freitas Marcio Limeres-Posse Jacobo Monteiro Luis Silva Luis Fricain Jean-Cristophe Catros Sylvain Lodi Giovanni Lombardi Niccolò Brailo Vlaho Brzak Bozana Loncar Ariyaratnam Raj Albuquerque Rui |
author_facet | Eccles Katherine Carey Barbara Cook Richard Escudier Michael Diniz-Freitas Marcio Limeres-Posse Jacobo Monteiro Luis Silva Luis Fricain Jean-Cristophe Catros Sylvain Lodi Giovanni Lombardi Niccolò Brailo Vlaho Brzak Bozana Loncar Ariyaratnam Raj Albuquerque Rui |
author_sort | Eccles Katherine |
collection | DOAJ |
description | Introduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need for surveillance to be jointly undertaken with primary dental care clinicians. In a primary care setting, identification and surveillance of OPMDs can be challenging as no universal guidance exists on recommended recall intervals. Corpus: In this article, an update on OPMDs is provided and, based on the practices of six Oral Medicine units in Europe (London (United Kingdom), Milan (Italy), Bordeaux (France), Porto (Portugal), Zagreb (Croatia) and Santiago de Compostela (Spain)), aiming to provide guidance on monitoring in a primary care setting in Europe. Conclusion: Oral medicine clinicians can provide guidance to general dental practitioners (GDPs) on recommended recall intervals. It is important that they feel confident in monitoring these conditions and, when concerned, to arrange referral to a hospital or appropriate specialist. GDPs should document descriptions of lesions and, if possible, take clinical photographs. Patients should be counselled on modifiable lifestyle factors and directed to oral medicine society websites to access patient information leaflets. |
first_indexed | 2024-04-14T07:25:36Z |
format | Article |
id | doaj.art-942ea3095e614381b3a77e158d0e31b1 |
institution | Directory Open Access Journal |
issn | 2608-1326 |
language | English |
last_indexed | 2024-04-14T07:25:36Z |
publishDate | 2022-01-01 |
publisher | EDP Sciences |
record_format | Article |
series | Journal of Oral Medicine and Oral Surgery |
spelling | doaj.art-942ea3095e614381b3a77e158d0e31b12022-12-22T02:06:02ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262022-01-012833610.1051/mbcb/2022017mbcb220083Oral potentially malignant disorders: advice on management in primary careEccles Katherine0Carey Barbara1Cook Richard2Escudier Michael3Diniz-Freitas Marcio4https://orcid.org/0000-0001-5349-1091Limeres-Posse Jacobo5Monteiro Luis6Silva Luis7Fricain Jean-Cristophe8Catros Sylvain9Lodi Giovanni10Lombardi Niccolò11Brailo Vlaho12Brzak Bozana Loncar13Ariyaratnam Raj14Albuquerque Rui15https://orcid.org/0000-0002-1741-8871Oral Medicine, Guy's and St Thomas' NHS Foundation TrustOral Medicine, Guy's and St Thomas' NHS Foundation TrustFaculty of Dentistry, Oral & Craniofacial Sciences, King’s College LondonFaculty of Dentistry, Oral & Craniofacial Sciences, King’s College LondonSchool of Medicine and Dentistry, University Santiago de CompostelaSchool of Medicine and Dentistry, University Santiago de CompostelaOral Pathology and Rehabilitation Research Unit UNIPRO, University Institute of Health (IUCS), CESPUOral Pathology and Rehabilitation Research Unit UNIPRO, University Institute of Health (IUCS), CESPUUniversity of BordeauxUniversity of BordeauxUniversità degli Studi di MilanoUniversità degli Studi di MilanoOral Medicine, School of Dental Medicine, University of ZagrebOral Medicine, School of Dental Medicine, University of ZagrebUniversity of ManchesterOral Medicine, Guy's and St Thomas' NHS Foundation TrustIntroduction: The diagnosis of and risks associated with oral potentially malignant disorders (OPMD) have been widely reported, but little has been published on the management of OPMDs in a primary dental care setting. Hospital services face ongoing pressures due to long-term follow-up, with a need for surveillance to be jointly undertaken with primary dental care clinicians. In a primary care setting, identification and surveillance of OPMDs can be challenging as no universal guidance exists on recommended recall intervals. Corpus: In this article, an update on OPMDs is provided and, based on the practices of six Oral Medicine units in Europe (London (United Kingdom), Milan (Italy), Bordeaux (France), Porto (Portugal), Zagreb (Croatia) and Santiago de Compostela (Spain)), aiming to provide guidance on monitoring in a primary care setting in Europe. Conclusion: Oral medicine clinicians can provide guidance to general dental practitioners (GDPs) on recommended recall intervals. It is important that they feel confident in monitoring these conditions and, when concerned, to arrange referral to a hospital or appropriate specialist. GDPs should document descriptions of lesions and, if possible, take clinical photographs. Patients should be counselled on modifiable lifestyle factors and directed to oral medicine society websites to access patient information leaflets.https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.htmloral potentially malignant disordersopmdpremalignant disorders |
spellingShingle | Eccles Katherine Carey Barbara Cook Richard Escudier Michael Diniz-Freitas Marcio Limeres-Posse Jacobo Monteiro Luis Silva Luis Fricain Jean-Cristophe Catros Sylvain Lodi Giovanni Lombardi Niccolò Brailo Vlaho Brzak Bozana Loncar Ariyaratnam Raj Albuquerque Rui Oral potentially malignant disorders: advice on management in primary care Journal of Oral Medicine and Oral Surgery oral potentially malignant disorders opmd premalignant disorders |
title | Oral potentially malignant disorders: advice on management in primary care |
title_full | Oral potentially malignant disorders: advice on management in primary care |
title_fullStr | Oral potentially malignant disorders: advice on management in primary care |
title_full_unstemmed | Oral potentially malignant disorders: advice on management in primary care |
title_short | Oral potentially malignant disorders: advice on management in primary care |
title_sort | oral potentially malignant disorders advice on management in primary care |
topic | oral potentially malignant disorders opmd premalignant disorders |
url | https://www.jomos.org/articles/mbcb/full_html/2022/03/mbcb220083/mbcb220083.html |
work_keys_str_mv | AT eccleskatherine oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT careybarbara oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT cookrichard oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT escudiermichael oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT dinizfreitasmarcio oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT limerespossejacobo oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT monteiroluis oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT silvaluis oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT fricainjeancristophe oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT catrossylvain oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT lodigiovanni oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT lombardiniccolo oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT brailovlaho oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT brzakbozanaloncar oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT ariyaratnamraj oralpotentiallymalignantdisordersadviceonmanagementinprimarycare AT albuquerquerui oralpotentiallymalignantdisordersadviceonmanagementinprimarycare |